解答つき精神看護ワークシート

無料で印刷できる精神看護のワークシート：やさしい問題から試験レベルまで 8 問、解答つき。印刷するか PDF で保存できます。

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名前: ____________________   日付: ____________

1.やさしい

精神保健ケアでの「最も制限の少ない代替手段」の原則は何を意味しますか？

  1. A身体拘束は最初に用いる手段であるべきである
  2. B本人と他の人の安全を保ちつつ、患者の自由をできるだけ制限しないケアをすべきである
  3. Cすべての患者を閉鎖病棟に入院させなければならない
  4. D本人や他の人に重大なリスクがあっても、患者をいかなる形でも制限してはならない
2.やさしい

Which of these medicines is a second-generation (atypical) antipsychotic?

  1. AChlorpromazine
  2. BQuetiapine
  3. CLorazepam
  4. DHaloperidol
3.やさしい

Which medicine may be used to treat moderate serotonin syndrome?

  1. ASertraline
  2. BPhenelzine
  3. CTramadol
  4. DCyproheptadine
4.ふつう

A patient who started a high-dose corticosteroid (prednisolone or prednisone) a week ago is now euphoric, sleeping little and talking very fast. What should the nurse suspect?

  1. AMood changes caused by the corticosteroid
  2. BLithium toxicity
  3. CA normal reaction to feeling better from the treatment
  4. DAlcohol withdrawal
5.ふつう

A 7-year-old with autism is admitted to a children's ward. Which nursing action is most helpful?

  1. APut him in a busy bay with lots of noise and activity to keep him stimulated
  2. BKeep to his usual routines where possible and prepare him for any changes
  3. CChange his daily routine often, to help him get used to change
  4. DAvoid his parents' advice, because staff know best how to care for him
6.ふつう

A patient with borderline personality disorder has made superficial cuts to her arm on the ward. What is the most appropriate nursing response?

  1. AScold her for breaking the ward rules and remove all her privileges
  2. BTreat the wounds in a calm, matter-of-fact way and assess her current risk and feelings
  3. CGive her a lot of extra attention for the rest of the day
  4. DIgnore the wounds completely so as not to reinforce the self-harming behaviour in any way
7.むずかしい

強迫症の患者が、長時間の手洗いの儀式を行い、朝食を逃しました。最初の対応として最もよいのはどれですか？

  1. A力ずくで儀式を止める
  2. B儀式の時間を認め、それに合わせて日課を組み、患者とともに徐々に制限していく
  3. C儀式が無意味であることを指摘し、朝食の前にすぐやめるよう強く求める
  4. D浴室に鍵をかける
8.むずかしい

A patient says, "My boss didn't say hello this morning, so she must think I'm useless." Which cognitive distortion is shown, and what is a helpful nursing response?

  1. AAll-or-nothing thinking; agree that the boss is being unfair
  2. BMind reading; ask what other reasons there might be for the boss's behaviour
  3. CCatastrophising; tell the patient that she will definitely not be fired
  4. DPersonalisation; advise the patient to ask for a new manager

解答

  1. 1. B · 本人と他の人の安全を保ちつつ、患者の自由をできるだけ制限しないケアをすべきである
  2. 2. B · Quetiapine
  3. 3. D · Cyproheptadine
  4. 4. A · Mood changes caused by the corticosteroid
  5. 5. B · Keep to his usual routines where possible and prepare him for any changes
  6. 6. B · Treat the wounds in a calm, matter-of-fact way and assess her current risk and feelings
  7. 7. B · 儀式の時間を認め、それに合わせて日課を組み、患者とともに徐々に制限していく
  8. 8. B · Mind reading; ask what other reasons there might be for the boss's behaviour

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